NPI age
20 years
Enumerated 2005-08-18
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 184590102 | |
| 01 (TX) | 75-2616977-042 | TRICARE |
| 01 (TX) | 836N57 | BCBS |
| 01 (TX) | 8N8739 | BCBS OF TEXAS |
| 05 (TX) | 184590101 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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